Pregnant mother playing mahjong almost entered the "ghost door" Multidisciplinary emergency rescue turned the crisis into safety

Surgical scene.

Red Net Moment, January 24 (Correspondent Tang Min) Even though she is pregnant in August, Ms. Luo is still enthusiastic about playing mahjong. But this time playing mahjong, but almost two lives. After the emergency rescue of the Third Department of Obstetrics and Gynecology of Hunan Provincial People's Hospital, the mother and child turned the crisis into safety. On January 24, After passing the 5-day observation period, Ms. Luo and the baby recovered well and were about to be discharged from the hospital.

Ms. Luo, a 31-year-old who lives in Mawangdui, was previously in good health, had a 2-year-old healthy boy, and her second child was 37 weeks pregnant. Due to irregular menstruation, Ms. Luo did not find pregnancy until the 5th month of pregnancy, when the abdomen bulged and the fetal movement was obvious, and the relevant obstetric examination done thereafter did not find obvious abnormalities. Ms. Luo usually likes to play mahjong, even if she is pregnant in August, this hobby has not fallen. At about 2 p.m. on January 18, Ms. Luo played mahjong with several friends, fought until about 5 p.m., suddenly felt a vague pain in the lower abdomen, and found that the bleeding was not stopped after going to the toilet, and the abdominal pain intensified, and was urgently sent to the Mawangdui Branch of the Provincial People's Hospital for emergency treatment.

At 18:00 that night, Dr. Tang Min and Xu Mengjie of the Third Department of Obstetrics and Gynecology, who were preparing to leave work, received Ms. Luo. At this time, Ms. Luo was in a state of hemorrhagic shock, and the fetal heart rate fluctuated at 70-80 beats per minute, only half of the normal value. Acute intrauterine distress is judged empirically, and placental abruption may occur. This situation must be operated on immediately, otherwise not only the child in the stomach will die, but the adult will also be in danger of life. After receiving the notice, Liu Qin, director of the third department of obstetrics and gynecology, Chen Chunyan, chief physician, and Zhong Wei, chief nurse, reacted quickly, started the green channel in the hospital, and notified the operating room, anesthesia department, pediatric department, and B ultrasound room to carry out multidisciplinary emergency rescue. During the emergency caesarean section for Ms. Luo, it was found that Ms. Luo was placental abruption grade III., placental uterine stroke, placental peeling area reached more than 1/3, and the blood in the uterine cavity alone had reached 2000ml. After the medical staff struggled to rescue, Ms. Luo and the severely suffocated, lifeless newborn baby were finally snatched back from the "ghost gate".

"Placental abruption is extremely dangerous and is one of the serious complications of the third trimester." Liu Qin introduced that placental abruption refers to the partial or total stripping of the placenta in a normal position after 20 weeks of pregnancy or during childbirth before the fetus is delivered. Early placental detachment often begins abruptly and progresses quickly, and serious complications such as disseminated intravascular coagulation (DIC), renal failure, and postpartum hemorrhage occur if diagnosis and management are not timely, which seriously threaten the life of the mother and child. The continental incidence rate is 0.46% to 2.1%, and the perinatal mortality rate is 20% to 35%, which is 15 times higher than that of placenta-free early strippers.

Liu Qin reminded pregnant mothers to develop a good lifestyle, strengthen prenatal examination, and actively prevent and treat hypertensive diseases during pregnancy; strengthen management of high-risk pregnancies such as concomitant hypertension and chronic nephritis; and avoid long-term sedentary sitting, sudden changes in uterine pressure and abdominal trauma in the third trimester of pregnancy. Once there is vaginal bleeding, abdominal pain and other discomfort, you should immediately go to the hospital to avoid serious consequences.